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Article
Publication date: 14 February 2019

Marina Raco, Teresa Burdett and Vanessa Heaslip

Due to an international ageing population, global health organisations have recognised the challenges arising from fragmented interaction between health and social sectors in the…

564

Abstract

Purpose

Due to an international ageing population, global health organisations have recognised the challenges arising from fragmented interaction between health and social sectors in the end of life care. The purpose of this paper is to explore the existing literature on integrative palliative care services for older people.

Design/methodology/approach

An integrative review was conducted using the Preferred Reporting Items for Systematic reviews and Meta-Analyses. Papers included in the review focused upon integrated care within palliative care systems (January 2007–2017). A certain number of papers were excluded when the review focused on individuals younger than 65, not written in English and not being focused on integrated palliative care.

Findings

Nine studies fitted the inclusion criteria and three themes were identified: person-centred care, co-ordination of care, and education and training. The review identifies that integrated palliative care requires co-ordinated techniques that focus upon the quality of life, individual needs and awareness of vulnerability rather than fixation on inevitable mortality.

Research limitations/implications

The emerging presence of the need for integrated palliative care requires further research in order to develop coherent models of integrated palliative care which can be incorporated into practice.

Originality/value

This review identified themes relevant to the emerging issues in the global health sector of end of life care. The literature suggests that the optimised use of an integrated care approach to a palliative model of care is required and in need of further investigation.

Details

Journal of Integrated Care, vol. 27 no. 2
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 15 July 2021

Teresa Burdett and Joanne Inman

347

Abstract

Details

Journal of Integrated Care, vol. 29 no. 3
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 6 April 2020

Nicola Davies and Teresa Burdett

Integrated healthcare is a central tenant of the NHS Long Term Plan (NHS, 2019). NICE in 2019 published guidelines; advising the integration of multidisciplinary professionals…

175

Abstract

Purpose

Integrated healthcare is a central tenant of the NHS Long Term Plan (NHS, 2019). NICE in 2019 published guidelines; advising the integration of multidisciplinary professionals which may lead to an improvement in conservative treatment methods of pelvic organ prolapse. Therefore, current literature on the conservative treatments for pelvic organ prolapse needs to be reviewed to ascertain if an integrated approach would improve the symptoms and quality of life for women.

Design/methodology/approach

A systematic review of the literature between 2013 and 2018 was implemented. Papers included were written in English, peer-reviewed and consisted of treatments of pelvic organ prolapse in women. Papers containing surgical interventions, postpartum participants, reviews, evaluations, guidelines, follow-up studies, focusing on cost effectiveness, sexual function were excluded.

Findings

Seven studies in total were included, and two overarching themes were identified: quality of life after treatment and the effect of conservative treatment on pelvic organ prolapse symptoms. The literature suggested that integrating care had a more positive outcome on pelvic organ symptoms and quality of life.

Research limitations/implications

To develop a robust enhanced model of care for conservative treatment of pelvic organ prolapse through more mixed method or qualitative research, that incorporates integrative treatment methods with collaboration from multidisciplinary professionals.

Practical implications

The practical implications of integrating the conservative management of pelvic organ prolapse is the communication between the multidisciplinary team must be exceptional to ensure everyone understands and agrees the treatment that is being provided to patient. Also, effective teamwork is important to ensure the patient receives the best care with input from the correct disciplines. The multi-professional team will need to have regular meetings to discuss and implement care plans for patients that might prove difficult to schedule due to differing commitments and priorities. This must be overcome to insure a successful and effective integrated approach to pelvic organ prolapse is delivered.

Social implications

The social implications of integrating the professional approach to women's care of pelvic organ prolapse involves reducing the severity of the symptoms therefore, increasing the quality of life. This may result in the reduction of surgical intervention due to the patient being satisfied with the conservative management. Through integrating the management of the prolapse the patient will receive an accessible individualised care plan pathway that focuses on treating or reducing the impact of the symptoms that are bothersome to the patient whilst managing patient expectations. Patients will also, be reassured by the number of multi-disciplinary professionals involved in their care.

Originality/value

Global integration of conservative treatments and multidisciplinary-professionals specialising in pelvic organ prolapse and pelvic floor dysfunction is needed.

Details

Journal of Integrated Care, vol. 28 no. 2
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 18 June 2021

Teresa Burdett and Joanne Inman

Due to the need for the development of person-centred integrated models of care with a population health approach, this paper explored contemporary literature in this arena.

1264

Abstract

Purpose

Due to the need for the development of person-centred integrated models of care with a population health approach, this paper explored contemporary literature in this arena.

Design/methodology/approach

A systematic literature review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Papers included in this review focused upon person-centred integrated care and a health promotion/public health approach (January 2018–October 2020). Papers were excluded due to not being written in English, not fitting the age criteria and not being peer reviewed.

Findings

Eight studies met the inclusion criteria and three overarching themes were identified with regards to person-centred integrated care as a health promotion/public health approach: Core components; Development, implementation, and evaluation of models of care and relationship to population health and wellbeing outcomes.

Research limitations/implications

The need for person-centred integrated care as a health promotion/public health approach, to enhance population health and well-being outcomes requires further research to continue to develop, implement and evaluate models of care.

Originality/value

The international scope of this contemporary review brought together the three concepts of person-centred integrated care and public health, exploring the translation of policy into practice (WHO, 2016). The juxtaposition of public health approaches in the background/consequential or foreground/active agent demonstrates how promotion, prevention and population health can be re-valued in integrated people-centred health services (WHO, 2016).

Details

Journal of Integrated Care, vol. 29 no. 3
Type: Research Article
ISSN: 1476-9018

Keywords

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Publication date: 19 May 2015

Kathleen B. Duncan and Teresa Martinelli-Lee

This chapter presents a practice example of inquiry-based learning. A graduate level research methods course was designed to be student-centered and inquiry-based utilizing…

Abstract

This chapter presents a practice example of inquiry-based learning. A graduate level research methods course was designed to be student-centered and inquiry-based utilizing scaffolding assignments (Skene & Fedko, 2012), small group discussions (Huang, 2005), peer feedback (Skene & Fedko, 2012), and collaborative interactive exercises (Volet & Mansfield, 2006). Having students ask the questions in which they are interested (Jansen, 2011), find the resources to answer those questions, which then leads to new questions (Stripling, 2009), eventually culminates in the creation of a literature review and research proposal. The course concludes with a number of application exercises that connect theory to practice (Kuh, Chen, & Nelson Laird, 2007). Many of the specific in-class practices that support this inquiry-based approach are presented.

Details

Inquiry-Based Learning for Multidisciplinary Programs: A Conceptual and Practical Resource for Educators
Type: Book
ISBN: 978-1-78441-847-2

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Book part
Publication date: 9 August 2022

Lesley Millar

According to the critic Tom Lubbock, ‘Cloth is the universal free element. It doesn't have to explain itself. It performs’ (Lubbock, 2002). Cloth drapes and folds, becoming a…

Abstract

According to the critic Tom Lubbock, ‘Cloth is the universal free element. It doesn't have to explain itself. It performs’ (Lubbock, 2002). Cloth drapes and folds, becoming a membrane separating what is outside from what is inside. In this chapter, I draw on the writings of de Certeau, Rendell, Tschumi, etc. to develop ideas concerning the ways in which the use and understanding of textiles may move our perceptions of the boundaries of space, and the location of place. I argue that cloth may contain the identity of place, and that lace and lace net-works provide a starting point for the exploration of fluid space as described by Isozaki, Ishigami, etc.1 I also discuss those structures/mise-en-scène which frame our awareness and interpretation of place and space. Examples of work drawn from art, cinema and architecture are used to illuminate those ideas which question the materiality and purpose of form and enclosure.

Details

Moving Spaces and Places
Type: Book
ISBN: 978-1-80071-226-3

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Article
Publication date: 1 April 2002

Teresa Waring and David Wainwright

The English National Health Service has undergone unprecedented political, economic and technological change. This has resulted in a requirement for radical improvements in…

1426

Abstract

The English National Health Service has undergone unprecedented political, economic and technological change. This has resulted in a requirement for radical improvements in operational efficiency and effectiveness. An effective IT infrastructure supporting key operational processes and management reporting is now seen as essential. This paper outlines the findings from empirical research in a North East hospital Trust. The authors collaborated on a requirements analysis project to investigate and model business processes and information flows using an automated IDEF0 software tool. A participatory action research framework was used, informed by principles derived from critical social theory, to describe the complexity of the situation and provide improved communication amongst stakeholders. The paper concludes by reflecting on the need for more “ideal” speech situations in order to deal with complex operations management problems where political, power and social issues can obstruct effective implementation of new computer‐integrated operations.

Details

International Journal of Operations & Production Management, vol. 22 no. 4
Type: Research Article
ISSN: 0144-3577

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Article
Publication date: 20 July 2021

David Ocón

The paper aims to provide up-to-date analysis on how a country like Singapore, with a rich tangible and intangible cultural heritage associated with burial customs, approaches…

399

Abstract

Purpose

The paper aims to provide up-to-date analysis on how a country like Singapore, with a rich tangible and intangible cultural heritage associated with burial customs, approaches heritage preservation while ensuring modernisation and sustainable growth.

Design/methodology/approach

The paper is an exploratory analysis of the association between cultural heritage preservation, particularly the one associated with elaborate burials, and the need for modernisation in Singapore. It mainly uses desk research tools, fieldwork and interviews with death services providers to build a set of conclusions. It employs a historical review approach and uses comparative analyses with other countries in the Asian region to substantiate the arguments.

Findings

The paper provides insights about how, since its independence, Singapore has switched to pragmatic models of growth and development which imply maximising the limited space available, often at the cost of precious cultural heritage. The rapid development has had a significant impact on the country's burial customs and legacies, particularly on elaborate graves and tombs, which traditionally use a considerable amount of space. The analysis concludes that Singapore is in the constant challenge of exploring alternative ways of handling death and its ramifications.

Originality/value

This paper presents a new outlook on the relationship between the preservation of the tangible and intangible cultural heritage associated with death practices and a sustainable approach to modernisation in the context of Singapore.

Details

Journal of Cultural Heritage Management and Sustainable Development, vol. 13 no. 1
Type: Research Article
ISSN: 2044-1266

Keywords

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